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Y OF CUPERTINO
BUILDING DIVISION PERMITCONTRACTUR
I1VFQRMATOhi
1""LInGADDRESS:
SPECTRUM FINE HOMES, INC.
PERMITNo.06010030
R'S NAME:
PERMITISSUE DATE
MARK AAKER & GAIL BROWNELL
1734 EL CAMINO
0 05 2006
E:
SANITARY NO. CONTROL NO.
(650)960-2449
ARCHITECUENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
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LICENSED CONTRACTOR'S DECLARATION
Job Description
I hm thereby Nat 1 am liaucd under provisions of Chapter 9 (commencing
wlNSection 7IXp) of DlNsion 7 of Ne Bualneo and Profculons Code,aM my license is
In fullroree and effecREVISION--SHEETROCK.
GARAGE/CHANGE
Licensu Clan Lo.N
Dam commuter
IDING ON 2 WALLS/WATER HEATER/3 LIT.,
CHITECrS DEC
CHANGE DECK NAIL DESIGN
lunderuan myphuslWlbeusadaspuhllemrorJa
Licensed! Pot(cssioul
OWNER -BUILDER DECLARATION
I hereby 4fflM that I am ucmpt from the Commac m's License Law for the
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following moan. (Section 70313, Business and professions Code: My city or aunty
which mqulma a permit he cnuWct. slop improve, dcmolbh, car repair any atroctum
prior to its issuance, also requires the applicant forauch permit to file a signed statement
Net k is licated pursuant to the provision of we Contractor's Liccue Law (Chapter 9
Sq. Ft. Floor Area
Valuation
(commencing with Section 7(100) of Division 7 of din Business and Proresslons Code) ur
$14'%
than he is exempt Burnham and the bub for the alleged excerption. Any violation of
APN Number Occupancy �r
y 'l Pe
Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty or
not marc than Ove hundred dollars ($501B.P
❑ 1, as owner of rlie property, an my employcea with wages u Neo sole compensation,
will do the work and the suuctum is not intended confined fanain(S.C. 7044, Business
35682826.Required Inspections
and Prow
Cade: That Commutes License ladoes rot apply to an awoer of
nsfession,
q p
property who builds or, Im proves Nemon, ane who does such wart himael f or them ugh his
own employees. provided that uch improvements art not nunded proffered for ale, q
builder. Ne building orimprovemennhot of completion, the owner-
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hedidnarcyear
builder will have the burden of proving Net he did not build or Improve for purpose of
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talc.).
❑ 1, u owner of we properly, am aclusively contracting with licensed conuactom to
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Came La the project (Sec. o an Bnelnw end nywim m Dade:) The Contractor's Li-
sue taw dons not to an owner of builds or Improve thereon, and!
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matertYwho
who antncu for such projects with a convuter(O Ilaued pumumt to the Contractor's
Lwenee raw.
❑l amaemiatmemsec. ,BAPCfor Nbmoom
Date
WORKERS COMPENSA71ON DECLARATION
1 hereby affirm under penalty or perjury we of the following decimations:
1 hero and will maintain. Certificate or Consent to mlf-iuum for WoheYaCompen-
udon, u prevlded for by Section 3700 or she Labor Code, for the performance of the
wait for which this Permit is issued.
❑ L have and will maintain Workse, Compensation Insurance. as required by Section
3700af the labor Code. for the perfarmanee of Ne wort for which this permit is wood.
My Workers CGMKfl$4dM Insuranca carrier and Policy numbram:
carrier.S�
Policy No.:
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CETINN FROM R
COMPENSATIONINSURANCE
Crubscction need not W completed If de permit isforonchundmddollm(SIM)
orlcx)
1 certify Not in the performance of the wart for which this permit b Issued, I Mall not
employ any pe=a in any menncrso u o become subject to the Wafter' Compensation
.
'
Laws or Celiromia, new
Applicant
NOTICE TO APPLICANT: If. after mating his Cenifrate of Exemption, you should
become subject to thin Woweri Compensation provisions of Nn labor Code, you must
forthwith comply with such provisions of this permit shall W clamed mvoka
CONSTRUCTION LENDING AGENCY
1 hereby sRmm that Nem is a Construction lending agency for tie perforname of
the work for which Nle permit bowed (Sec. 819'1, Civ. C.)
Landers Name
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Lander. Add.
1 comfy that I have mad this application and state that the above information is
corecc 1 agree to comply with all city and county ordwancu and state laws mladng to
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building convection, and hereby authorice representatives of this city to crown upon the
above-mentioned properly for inspection pulp=&
(We) agree to urs, indemnify and keep harmless Ne City of Cupenino against
liabilities, judgments. cam and expenms which In any way accrue against said City
in consequence of the grating of Nis permi
AP
APPLIC D RSTANDS AND W L C PLY W TH ALL NON -POINT
Issued by:3 Dale
R 0
Re -roofs
Type of Roof
75;nw
14 nature AppOMt/Comosc rate
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant orfuum building occupantsiom orhandlc huallous material
as de0ned by the Cupertino Municipal Code. Chapter 9.12. and the Hush and Safety
0Yemus7x(a)7 Ho
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to remove
Will we applicant or future building occupant use equipment or devices which
It hatudous air wou min. u recd by the Bay Am, Air Quality Management
all new materials for inspection.
urin7
❑Yes u
1 haw reW Ne hanNan materia-requimmenu under Chapter 6.95 of the Califor-
nbHealth @ Se@IycaM, Sccuans7m and25534.Ianderatand Natifte building
,cum Mw: •tenant. Nu I my wuihility w roufy the occupant n de
ctpror We orace cawofocait
Signature of Applicant Date
ir
All roof coverings to be Class "B" or better
cr suthwvcdagcnt w